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<html>
<head>
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	<title>添加用户</title>
</head>
<body>
<div class="pd-20">
	<div class="Huiform">

		<form class="layui-form" action="">
			<div class="layui-form-item">
				<label class="layui-form-label">费项名称：</label>
				<div class="layui-input-block">
					<input type="text" name="title" required  lay-verify="required" placeholder="请输入名称" autocomplete="off" class="layui-input">
				</div>
			</div>
			<div class="layui-form-item">
				<label class="layui-form-label">单价：</label>
				<div class="layui-input-block">
					<input type="text" name="title" required  lay-verify="required" placeholder="请输入价格" autocomplete="off" class="layui-input">
				</div>
			</div>
			<div class="layui-form-item">
				<label class="layui-form-label">费用金额：</label>
				<div class="layui-input-block">
					<input type="text" name="title" required  lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
				</div>
			</div>
			<div class="layui-form-item">
				<label class="layui-form-label">实际收费：</label>
				<div class="layui-input-block">
					<input type="text" name="title" required  lay-verify="required"  autocomplete="off" class="layui-input">
				</div>
			</div>
			<div class="layui-form-item">
				<label class="layui-form-label">选择框：</label>
				<div class="layui-input-block">
					<select name="city" lay-verify="required">
						<option value=""></option>
						<option value="0">一个月</option>
						<option value="1">两个月</option>
						<option value="2">三个月</option>
						<option value="3">四个月</option>
						<option value="4">五个月</option>
					</select>
				</div>
			</div>
			<!--时间与日期-->
			<div class="layui-form-item">
				<label class="layui-form-label">缴费日期：</label>
				<div class="layui-inline">
					<input type="text" class="layui-input" id="date">
				</div>
			</div>
			<div class="layui-form-item">
				<label class="layui-form-label">付款方式：</label>
				<div class="layui-input-block">
					<input type="checkbox" name="like[write]" title="微信">
					<input type="checkbox" name="like[read]" title="支付宝" checked>
					<input type="checkbox" name="like[dai]" title="现金">
				</div>
			</div>
			<div class="layui-form-item">
				<label class="layui-form-label">记录人：</label>
				<div class="layui-input-block">
					<input type="text" name="title" required  lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
				</div>
			</div>
			<div class="layui-form-item">
				<div class="layui-input-block">
					<button class="layui-btn" lay-submit lay-filter="formDemo">立即提交</button>
					<button type="reset" class="layui-btn layui-btn-primary">重置</button>
				</div>
			</div>
		</form>

	</div>
</div>
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<script type="text/javascript" src="layui/layui.all.js"></script>
<script type="text/javascript" src="layui.all.js"></script>
<script type="text/javascript" src="layui.js"></script>
<script type="text/javascript">
    $(".Huiform").Validform();
</script>
<!--layui  -->
<script>
    //Demo
    layui.use('form', function(){
        var form = layui.form;

        //监听提交
        form.on('submit(formDemo)', function(data){
            layer.msg(JSON.stringify(data.field));
            return false;
        });
    });
</script>
<script>
    layui.use('laydate', function(){
        var laydate = layui.laydate;

        //执行一个laydate实例
        laydate.render({
            elem: '#date' //指定元素
        });
    });
</script>

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</body>
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